Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

What Is Form SI-28 (BWC-7228)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SI-28 (BWC-7228)?
A: Form SI-28 (BWC-7228) is a document used for filing an allegation against a self-insured employer in Ohio.

Q: Who can use Form SI-28 (BWC-7228)?
A: Any individual who has a complaint or allegation against a self-insured employer in Ohio can use Form SI-28 (BWC-7228).

Q: What is the purpose of filing an allegation against a self-insured employer?
A: The purpose of filing an allegation against a self-insured employer is to bring attention to any issues or concerns regarding the employer's compliance with workers' compensation laws in Ohio.

Q: How do I file an allegation against a self-insured employer?
A: To file an allegation against a self-insured employer, you need to complete Form SI-28 (BWC-7228) and submit it to the Ohio Bureau of Workers' Compensation.

Q: What information is required on Form SI-28 (BWC-7228)?
A: Form SI-28 (BWC-7228) requires information such as the employee's personal details, employer's information, details of the allegation, and any supporting documentation.

Q: Is there a deadline for filing an allegation against a self-insured employer?
A: Yes, there is a deadline for filing an allegation against a self-insured employer. The specific deadline can vary, so it is important to check with the Ohio Bureau of Workers' Compensation for the most up-to-date information.

Q: What happens after I file an allegation against a self-insured employer?
A: After you file an allegation against a self-insured employer, the Ohio Bureau of Workers' Compensation will review the complaint and may conduct an investigation if necessary.

Q: Is there any cost associated with filing an allegation against a self-insured employer?
A: No, there is no cost associated with filing an allegation against a self-insured employer in Ohio.

Q: Can I file an allegation anonymously?
A: Yes, you have the option to file an allegation against a self-insured employer anonymously in Ohio. However, providing your contact information may assist in the investigation process.

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Form Details:

  • Released on January 7, 2020;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SI-28 (BWC-7228) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

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